MS. MARY MICHELLE GOURLEY MFT, LCSW, JD
NPI 1649503723
Social Worker - Clinical in Salt Lake City, UT

Active since September 08, 2009
1390 S 1100 E, SUITE 203, SALT LAKE CITY, UT 84105(801) 983-5700(801) 983-5701 Get Directions Write a Review

NPPES record last updated: September 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Michelle Gourley Mft, Lcsw, Jd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY MICHELLE GOURLEY MFT, LCSW, JD (NPI 1649503723) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (1321743501) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1649503723
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY MICHELLE GOURLEYCredential: MFT, LCSW, JD
Location Address1390 S 1100 E, SUITE 203Salt Lake City, UT 84105-2461
Mailing Address1390 S 1100 E, Suite 203Salt Lake City, UT 84105-2461 · (801) 983-5700 · Fax (801) 983-5701
Fax(801) 983-5701
Sole ProprietorNo
Enumeration DateSeptember 8, 2009
NPI 1649503723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in UT · 1321743501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1390 S 1100 E, Salt Lake City, UT 84105

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1390 S 1100 E, 201
SALT LAKE CITY, UT 84105
Community/Behavioral Health
1390 S 1100 E, STE 203
SALT LAKE CITY, UT 84105
Community/Behavioral Health
1390 S 1100 E, STE. 203
SALT LAKE CITY, UT 84105
Social Worker (Clinical)
1390 S 1100 E, SUITE 201
SALT LAKE CITY, UT 84105
Student in an Organized Health Care Education/Training Program
1390 S 1100 E, #203
SALT LAKE CITY, UT 84105
Counselor (Professional)
1390 S 1100 E, SUITE 201A
SALT LAKE CITY, UT 84105
Community/Behavioral Health
1390 S 1100 E, SUITE 203
SALT LAKE CITY, UT 84105
Social Worker (Clinical)
1390 S 1100 E, 101
SALT LAKE CITY, UT 84105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gourley's NPI number?

The NPI number for Mary Gourley is 1649503723. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Where is Mary Gourley located?

Mary Gourley practices at 1390 S 1100 E Suite 203, Salt Lake City, UT 84105. The listed phone number is (801) 983-5700.

What is Mary Gourley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mary Gourley was last updated on September 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.